Get the free Specialist Wheelchair Service Referral Form - Central London

Specialist Wheelchair Services Central London Wheelchair Services 306 Kendal Road London W10 5BE Tel: 0208 962 3939 Fax: 020 8962 3965 Email: cloth. Wheelchairs NHS.net Specialist Wheelchair Service

How to fill out specialist wheelchair service referral

How to fill out specialist wheelchair service referral:

1. Obtain the specialist wheelchair service referral form from your healthcare provider or the relevant authority.
2. Fill in the personal information section, including your name, address, date of birth, and contact details.
3. Provide information about your primary healthcare provider, such as their name, address, and contact details.
4. Specify the reason for the referral and the type of specialist wheelchair service needed.
5. Describe any specific requirements or preferences you have regarding the wheelchair.
6. Include any relevant medical information or diagnoses that may impact the selection of a wheelchair.
7. If applicable, provide details about any previous wheelchairs or mobility aids you have used.
8. Indicate whether you have any insurance coverage or funding options that may contribute to the wheelchair costs.
9. Sign and date the referral form, ensuring that all required fields are completed accurately.
10. Submit the completed specialist wheelchair service referral form to the designated authority or healthcare provider.

Who needs specialist wheelchair service referral?

1. Individuals who have a medical condition or disability requiring the use of a specialized wheelchair.
2. People who require a wheelchair that is customized to their specific needs and mobility requirements.
3. Patients who need assistance from healthcare professionals in choosing the most suitable wheelchair for their condition.
4. Individuals who may require funding or insurance coverage for the cost of the wheelchair.
5. Those who may benefit from additional services related to wheelchair assessment, training, or maintenance.

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What is specialist wheelchair service referral?

A specialist wheelchair service referral is a formal request made by a healthcare provider to refer a patient to a specialized wheelchair service for an evaluation and provision of a customized wheelchair or mobility device.

Who is required to file specialist wheelchair service referral?

Healthcare providers, such as doctors, physical therapists, or occupational therapists, are required to file specialist wheelchair service referrals for their patients who require specialized mobility equipment.

How to fill out specialist wheelchair service referral?

To fill out a specialist wheelchair service referral, healthcare providers need to complete the referral form provided by the wheelchair service, including the patient's medical history, current mobility needs, and any specific requirements for the wheelchair.

What is the purpose of specialist wheelchair service referral?

The purpose of a specialist wheelchair service referral is to ensure that patients with mobility limitations receive the appropriate evaluation and equipment to improve their independence and quality of life.

What information must be reported on specialist wheelchair service referral?

The specialist wheelchair service referral must include the patient's medical history, current mobility limitations, specific wheelchair requirements, and any relevant supporting documentation, such as therapy reports or test results.